Individual
MRS. MARY GANNON KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7440
Mailing address
7124 CHELSEA DR NE, CEDAR RAPIDS, IA 52402-1471
(319) 447-1381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002182
IA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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